MICHAEL C MATSON Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****61

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

Last Name

MATSON

Business Name

MICHAEL C MATSON

Original Issue Date

09/27/2012

Effective Date

03/27/2014

Expiration Date

05/31/2016

City

STERLING

State

Zip

61081

County

WHITESIDE

Specialty/Qualifier

PRACTITIONER

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/30/2019